{
    "document_id": 13088,
    "page": 1,
    "width_pt": 612,
    "height_pt": 792,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 13199,
    "item_count": 44,
    "counts_by_type": {
        "form_field": 14,
        "header": 1,
        "table": 1,
        "table_cell": 28
    },
    "build_ms": 5,
    "items": [
        {
            "id": "p1.1",
            "order": 1,
            "type": "header",
            "bbox": {
                "l": 105.12,
                "t": 780.72,
                "r": 516,
                "b": 749.52
            },
            "text": "OUTSIDE EMPLOYMENT OR BUSINESS ACTIVITY REQUEST",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p1.2",
            "order": 2,
            "type": "table",
            "bbox": {
                "l": 30.72,
                "t": 766.8,
                "r": 586.8,
                "b": 5.04
            },
            "text": "",
            "attrs": {
                "block_label": "table",
                "n_rows": 18,
                "n_cols": 4,
                "integrity": {
                    "cells_checked": 28,
                    "cells_flagged": 5,
                    "flags": [
                        {
                            "row": 0,
                            "col": 0,
                            "coverage": 0,
                            "text": "Kentucky State University"
                        },
                        {
                            "row": 4,
                            "col": 0,
                            "coverage": 0,
                            "text": "6. Are you now engaged in any outside employment? □Yes □No …"
                        },
                        {
                            "row": 12,
                            "col": 0,
                            "coverage": 0,
                            "text": "Immediate Supervisor: □ Approval □ Disapproval"
                        },
                        {
                            "row": 14,
                            "col": 0,
                            "coverage": 0.5,
                            "text": "Vice President: □ Approval □ Disapproval"
                        },
                        {
                            "row": 16,
                            "col": 0,
                            "coverage": 0,
                            "text": "General Counsel: □ Approval □ Disapproval"
                        }
                    ]
                }
            },
            "children": [
                {
                    "id": "p1.2.1",
                    "order": 3,
                    "type": "table_cell",
                    "bbox": {
                        "l": 30.72,
                        "t": 766.8,
                        "r": 586.8,
                        "b": 728.712
                    },
                    "text": "Kentucky State University",
                    "attrs": {
                        "row": 0,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4
                    }
                },
                {
                    "id": "p1.2.2",
                    "order": 4,
                    "type": "table_cell",
                    "bbox": {
                        "l": 157.428,
                        "t": 736.555,
                        "r": 319.253,
                        "b": 726.38
                    },
                    "text": "Section 1 - To be completed by employee",
                    "attrs": {
                        "row": 1,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.3",
                    "order": 5,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.4,
                        "t": 722.622,
                        "r": 198.1185,
                        "b": 714.297
                    },
                    "text": "1. Employee Name (Last, first, middle)",
                    "attrs": {
                        "row": 2,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.4",
                    "order": 6,
                    "type": "table_cell",
                    "bbox": {
                        "l": 352.8,
                        "t": 722.2570000000001,
                        "r": 417.402,
                        "b": 713.932
                    },
                    "text": "2. Position Title",
                    "attrs": {
                        "row": 2,
                        "col": 1,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.5",
                    "order": 7,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.4,
                        "t": 698.16,
                        "r": 110.369004,
                        "b": 685.875
                    },
                    "text": "3. Date of Hire",
                    "attrs": {
                        "row": 3,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 1,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.6",
                    "order": 8,
                    "type": "table_cell",
                    "bbox": {
                        "l": 199.8,
                        "t": 698.16,
                        "r": 284.976999,
                        "b": 685.875
                    },
                    "text": "4. Supervisor Name",
                    "attrs": {
                        "row": 3,
                        "col": 1,
                        "rowspan": 1,
                        "colspan": 1,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.7",
                    "order": 9,
                    "type": "table_cell",
                    "bbox": {
                        "l": 358.01,
                        "t": 698.16,
                        "r": 569.0226,
                        "b": 670.857
                    },
                    "text": "5. KSU Work Schedule: □F/T □P/T □Intermittent □Temp □ Seasonal □Other",
                    "attrs": {
                        "row": 3,
                        "col": 2,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    },
                    "children": [
                        {
                            "id": "p1.2.7.1",
                            "order": 10,
                            "type": "form_field",
                            "bbox": {
                                "l": 425.29,
                                "t": 698.16,
                                "r": 437.29,
                                "b": 686.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "F/T",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 3,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 2,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.7",
                                "text_offset": 22,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.7.2",
                            "order": 11,
                            "type": "form_field",
                            "bbox": {
                                "l": 440.58,
                                "t": 698.16,
                                "r": 452.58,
                                "b": 686.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "P/T",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 3,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 2,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.7",
                                "text_offset": 27,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.7.3",
                            "order": 12,
                            "type": "form_field",
                            "bbox": {
                                "l": 455.87,
                                "t": 698.16,
                                "r": 467.87,
                                "b": 686.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Intermittent",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 3,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 2,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.7",
                                "text_offset": 32,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.7.4",
                            "order": 13,
                            "type": "form_field",
                            "bbox": {
                                "l": 498.69,
                                "t": 698.16,
                                "r": 510.69,
                                "b": 686.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Temp",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 3,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 2,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.7",
                                "text_offset": 46,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.7.5",
                            "order": 14,
                            "type": "form_field",
                            "bbox": {
                                "l": 517.03,
                                "t": 698.16,
                                "r": 529.03,
                                "b": 686.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Seasonal",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 3,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 2,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.7",
                                "text_offset": 52,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.7.6",
                            "order": 15,
                            "type": "form_field",
                            "bbox": {
                                "l": 550.67,
                                "t": 698.16,
                                "r": 562.67,
                                "b": 686.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Other",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 3,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 2,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.7",
                                "text_offset": 63,
                                "text_span": 1
                            }
                        }
                    ]
                },
                {
                    "id": "p1.2.8",
                    "order": 16,
                    "type": "table_cell",
                    "bbox": {
                        "l": 30.72,
                        "t": 614.448,
                        "r": 586.8,
                        "b": 576.36
                    },
                    "text": "6. Are you now engaged in any outside employment? □Yes □No (If yes, explain. Attach additional sheet if necessary)",
                    "attrs": {
                        "row": 4,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4
                    },
                    "children": [
                        {
                            "id": "p1.2.8.1",
                            "order": 17,
                            "type": "form_field",
                            "bbox": {
                                "l": 274.61,
                                "t": 614.45,
                                "r": 286.61,
                                "b": 602.45
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Yes",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 4,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.8",
                                "text_offset": 50,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.8.2",
                            "order": 18,
                            "type": "form_field",
                            "bbox": {
                                "l": 299,
                                "t": 614.45,
                                "r": 311,
                                "b": 602.45
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "No (If yes, explain. Attach additional sheet if necessary)",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 4,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.8",
                                "text_offset": 55,
                                "text_span": 1
                            }
                        }
                    ]
                },
                {
                    "id": "p1.2.9",
                    "order": 19,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.4,
                        "t": 602.142,
                        "r": 232.74,
                        "b": 593.817
                    },
                    "text": "7. Prospective Employer's Name and Address",
                    "attrs": {
                        "row": 5,
                        "col": 0,
                        "rowspan": 2,
                        "colspan": 1,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.10",
                    "order": 20,
                    "type": "table_cell",
                    "bbox": {
                        "l": 276.24,
                        "t": 602.142,
                        "r": 363.3006,
                        "b": 593.817
                    },
                    "text": "8. Type of Business",
                    "attrs": {
                        "row": 5,
                        "col": 1,
                        "rowspan": 1,
                        "colspan": 1,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.11",
                    "order": 21,
                    "type": "table_cell",
                    "bbox": {
                        "l": 397.92,
                        "t": 602.142,
                        "r": 573.6,
                        "b": 593.817
                    },
                    "text": "9. Proposed Work Schedule (Days/Hours)",
                    "attrs": {
                        "row": 5,
                        "col": 2,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.12",
                    "order": 22,
                    "type": "table_cell",
                    "bbox": {
                        "l": 276.24,
                        "t": 575.142,
                        "r": 423.4629,
                        "b": 566.817
                    },
                    "text": "10. Proposed Start and Ending Date:",
                    "attrs": {
                        "row": 6,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 3,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.13",
                    "order": 23,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.4,
                        "t": 536.0219999999999,
                        "r": 425.1582,
                        "b": 527.697
                    },
                    "text": "11. Describe the Outside Employment or Business Activity (Use Additional Sheets if Necessary)",
                    "attrs": {
                        "row": 7,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.14",
                    "order": 24,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.4,
                        "t": 498.582,
                        "r": 497.2626,
                        "b": 490.257
                    },
                    "text": "12. I hereby certify that the statements made in this Section are complete and correct to the best of my knowledge.",
                    "attrs": {
                        "row": 8,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.15",
                    "order": 25,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.4,
                        "t": 485.022,
                        "r": 122.4855,
                        "b": 476.697
                    },
                    "text": "Employee Signature",
                    "attrs": {
                        "row": 9,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.16",
                    "order": 26,
                    "type": "table_cell",
                    "bbox": {
                        "l": 405.12,
                        "t": 406.062,
                        "r": 426.702,
                        "b": 397.737
                    },
                    "text": "Date",
                    "attrs": {
                        "row": 9,
                        "col": 1,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.17",
                    "order": 27,
                    "type": "table_cell",
                    "bbox": {
                        "l": 152.747,
                        "t": 446.16,
                        "r": 462.290992,
                        "b": 435.06
                    },
                    "text": "Section 2 - Recommendations of Supervisory Officials",
                    "attrs": {
                        "row": 10,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.18",
                    "order": 28,
                    "type": "table_cell",
                    "bbox": {
                        "l": 40.471,
                        "t": 419.022,
                        "r": 565.7,
                        "b": 358.009
                    },
                    "text": "A. Receipt of Initial Request:\nDate:\nD. In considering this request for outside employment or business activity, I have reviewed the Kentucky State University Employee and/or Faculty Handbooks, Conflict of Interest Policy and the Code of Conduct/Ethics policies and understand the employees' responsibilities and obligations to the University. My recommendation is made in accordance with those provisions.",
                    "attrs": {
                        "row": 11,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 1,
                        "bbox_refit": true,
                        "merged_continuation": true
                    }
                },
                {
                    "id": "p1.2.19",
                    "order": 29,
                    "type": "table_cell",
                    "bbox": {
                        "l": 223.2,
                        "t": 419.022,
                        "r": 386.0229,
                        "b": 397.737
                    },
                    "text": "B. Receipt of a fully Completed Request:\nDate:",
                    "attrs": {
                        "row": 11,
                        "col": 1,
                        "rowspan": 1,
                        "colspan": 1,
                        "bbox_refit": true,
                        "merged_continuation": true
                    }
                },
                {
                    "id": "p1.2.20",
                    "order": 30,
                    "type": "table_cell",
                    "bbox": {
                        "l": 405.12,
                        "t": 419.022,
                        "r": 556.038,
                        "b": 410.697
                    },
                    "text": "C. Deadline for Approval/Disapproval Date:",
                    "attrs": {
                        "row": 11,
                        "col": 2,
                        "rowspan": 2,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.21",
                    "order": 31,
                    "type": "table_cell",
                    "bbox": {
                        "l": 30.72,
                        "t": 233.568,
                        "r": 586.8,
                        "b": 195.48
                    },
                    "text": "Immediate Supervisor: □ Approval □ Disapproval",
                    "attrs": {
                        "row": 12,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4
                    },
                    "children": [
                        {
                            "id": "p1.2.21.1",
                            "order": 32,
                            "type": "form_field",
                            "bbox": {
                                "l": 296.67,
                                "t": 233.57,
                                "r": 308.67,
                                "b": 221.57
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Approval",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 12,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.21",
                                "text_offset": 22,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.21.2",
                            "order": 33,
                            "type": "form_field",
                            "bbox": {
                                "l": 429.65,
                                "t": 233.57,
                                "r": 441.65,
                                "b": 221.57
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Disapproval",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 12,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.21",
                                "text_offset": 33,
                                "text_span": 1
                            }
                        }
                    ]
                },
                {
                    "id": "p1.2.22",
                    "order": 34,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.4,
                        "t": 178.63127999999995,
                        "r": 138.065784,
                        "b": 169.41827999999998
                    },
                    "text": "(Signature and Title)",
                    "attrs": {
                        "row": 13,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.23",
                    "order": 35,
                    "type": "table_cell",
                    "bbox": {
                        "l": 492.96,
                        "t": 178.63127999999995,
                        "r": 521.23146,
                        "b": 169.41827999999998
                    },
                    "text": "(Date)",
                    "attrs": {
                        "row": 13,
                        "col": 1,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.24",
                    "order": 36,
                    "type": "table_cell",
                    "bbox": {
                        "l": 30.72,
                        "t": 157.392,
                        "r": 586.8,
                        "b": 119.304
                    },
                    "text": "Vice President: □ Approval □ Disapproval",
                    "attrs": {
                        "row": 14,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4
                    },
                    "children": [
                        {
                            "id": "p1.2.24.1",
                            "order": 37,
                            "type": "form_field",
                            "bbox": {
                                "l": 253.15,
                                "t": 157.39,
                                "r": 265.15,
                                "b": 145.39
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Approval",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 14,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.24",
                                "text_offset": 16,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.24.2",
                            "order": 38,
                            "type": "form_field",
                            "bbox": {
                                "l": 406.07,
                                "t": 157.39,
                                "r": 418.07,
                                "b": 145.39
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Disapproval",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 14,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.24",
                                "text_offset": 27,
                                "text_span": 1
                            }
                        }
                    ]
                },
                {
                    "id": "p1.2.25",
                    "order": 39,
                    "type": "table_cell",
                    "bbox": {
                        "l": 41.589,
                        "t": 290.71228,
                        "r": 138.64028,
                        "b": 281.49928
                    },
                    "text": "(Signature and Title)",
                    "attrs": {
                        "row": 15,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.26",
                    "order": 40,
                    "type": "table_cell",
                    "bbox": {
                        "l": 434.584,
                        "t": 291.09328,
                        "r": 462.70068,
                        "b": 281.88028
                    },
                    "text": "(Date)",
                    "attrs": {
                        "row": 15,
                        "col": 1,
                        "rowspan": 1,
                        "colspan": 2,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.2.27",
                    "order": 41,
                    "type": "table_cell",
                    "bbox": {
                        "l": 30.72,
                        "t": 81.216,
                        "r": 586.8,
                        "b": 43.128
                    },
                    "text": "General Counsel: □ Approval □ Disapproval",
                    "attrs": {
                        "row": 16,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4
                    },
                    "children": [
                        {
                            "id": "p1.2.27.1",
                            "order": 42,
                            "type": "form_field",
                            "bbox": {
                                "l": 261.29,
                                "t": 81.22,
                                "r": 273.29,
                                "b": 69.22
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Approval",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 16,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.27",
                                "text_offset": 17,
                                "text_span": 1
                            }
                        },
                        {
                            "id": "p1.2.27.2",
                            "order": 43,
                            "type": "form_field",
                            "bbox": {
                                "l": 410.48,
                                "t": 81.22,
                                "r": 422.48,
                                "b": 69.22
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Disapproval",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "row": 16,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 4,
                                "label_source": "parent_text",
                                "label_ref": "p1.3.27",
                                "text_offset": 28,
                                "text_span": 1
                            }
                        }
                    ]
                },
                {
                    "id": "p1.2.28",
                    "order": 44,
                    "type": "table_cell",
                    "bbox": {
                        "l": 36,
                        "t": 66.04075999999998,
                        "r": 290.91268,
                        "b": 51.77804000000003
                    },
                    "text": "Copies: Official Employee File, Employee, Supervisor",
                    "attrs": {
                        "row": 17,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 4,
                        "bbox_refit": true
                    }
                }
            ]
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}